For BIR Use Only BCS/ Item 170106/13ENCSP1 Republika ng Pilipinas Kagawaran ng Pananalapi Kawanihan ng Rentas Internas Annual Income Tax Return For Self-Employed Individuals, Estates and Trusts Enter all required information in CAPITAL LETTERS using BLACK ink. Mark applicable boxes with an “X”. Two copies MUST be filed with the BIR and one held by the Tax Filer. BIR Form No. 1701 June 2013 (ENCS) Page 1 1 For the Year (MM/20YY) /20 2 Amended Return? Yes No 3 Short Period Return? Yes No 4 Alphanumeric Tax Code (ATC) II 011 Compensation Income II 012 Business Income / Income from Profession II 013 Mixed Income Part I – Background Information on TAXPAYER/FILER 5 Taxpayer Identification Number (TIN) - - - 0 0 0 0 6 RDO Code 7 Tax Filer Type Single Proprietor Professional Estate Trust 8 Tax Filer’s Name (Last Name, First Name, Middle Name for Individual) / ESTATE of (First Name, Middle Name, Last Name) / TRUST FAO:(First Name, Middle Name, Last Name) 9 Trade Name 10 Registered Address (Indicate complete registered address) 11 Date of Birth (MM/DD/YYYY) 12 Email Address / / 13 Contact Number 14 Civil Status Single Married Legally Separated Widow/er 15 If Married, indicate whether spouse has income With Income With No Income 16 Filing Status Joint Filing Separate Filing 17 Main Line of Business 18 PSIC 19 PSOC 20 Method of Deduction Itemized Deduction [Sec. 34 (A-J), NIRC] Optional Standard Deduction (OSD) 40% of Gross Sales/ Receipts/Revenues/Fees [Sec. 34(L), NIRC, as amended by R.A. 9504] 21 Method of Accounting Cash Accrual Others (Specify) 22 Income Exempt from Income Tax? Yes No If Yes, fill up also Mandatory Attachments PER ACTIVITY (Part X). 23 Income subject to Special/Preferential Rate? Yes No If Yes, fill up also Mandatory Attachments PER ACTIVITY (Part X) 24 Claiming Additional Exemptions? Yes No 25 If YES, enter number of Qualified Dependent Children (Enter information about Children on Part VIIA of Page 4) Part II – Total Tax Payable (Do NOT enter Centavos) 26 Total Income Tax Due (Overpayment) for Tax Filer and Spouse (Sum of Items 72A & 72B) 27 Less: Total Tax Credits / Payments (Sum of Items 76A & 76B) 28 Net Tax Payable (Overpayment) (Item 26 Less Item 27) 29 Less: Portion of Tax Payable Allowed for 2 nd Installment to be paid on or before July 15 (Not More Than 50% of Item 26) 30 Total Tax Payable (Item 28 Less Item 29) 31 Add: Total Penalties( From Item 84) 32 TOTAL AMOUNT PAYABLE Upon Filing (Overpayment) (Sum of Items 30 & 31) If Overpayment, mark one box only (Once the choice is made, the same is irrevocable) To be refunded To be issued a Tax Credit Certificate (TCC) To be carried over as a tax credit for next year/quarter I declare under the penalties of perjury, that this annual return has been made in good faith, verified by me, and to the best of my knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. (If Authorized Representative, attach authorization letter and indicate TIN) 33 Number of pages filed Signature over printed name of Tax Filer Signature over printed name of Authorized Representative 34 Community Tax Certificate (CTC) No./Govt. Issued ID 35 Date of Issue (MM/DD/YYYY) / / 36 Place of Issue 37 Amount, if CTC Part III - Details of Payment Drawee Bank/ Agency Number Date (MM/DD/YYYY) Amount 38 Cash/Bank Debit Memo / / 39 Check / / 40 Others (Specify below) / / Machine Validation / Revenue Official Receipt Details (if not filed with an Authorized Agent Bank) Stamp of Receiving Office/AAB and Date of Receipt (RO’s Signature/Bank Teller’s Initial)
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For BIR Use Only
BCS/ Item 170106/13ENCSP1
Republika ng Pilipinas Kagawaran ng Pananalapi Kawanihan ng Rentas Internas
Annual Income Tax Return For Self-Employed Individuals, Estates and Trusts
Enter all required information in CAPITAL LETTERS using BLACK ink. Mark applicable boxes with an “X”. Two copies MUST be filed with the BIR and one held by the Tax Filer.
BIR Form No.
1701 June 2013 (ENCS)
Page 1
1 For the Year (MM/20YY) /20
2 Amended Return?
Yes No 3 Short Period Return? Yes No
4 Alphanumeric Tax Code (ATC) II 011 Compensation Income II 012 Business Income / Income from Profession II 013 Mixed Income
Part I – Background Information on TAXPAYER/FILER
5 Taxpayer Identification Number (TIN)
-
-
- 0 0 0 0 6 RDO Code
7 Tax Filer Type
Single Proprietor Professional Estate Trust
8 Tax Filer’s Name (Last Name, First Name, Middle Name for Individual) / ESTATE of (First Name, Middle Name, Last Name) / TRUST FAO:(First Name, Middle Name, Last Name)
15 If Married, indicate whether spouse has income With Income With No Income 16 Filing Status Joint Filing Separate Filing
17 Main Line of Business
18 PSIC
19 PSOC
20 Method of Deduction Itemized Deduction [Sec. 34 (A-J), NIRC]
Optional Standard Deduction (OSD) 40% of Gross Sales/
Receipts/Revenues/Fees [Sec. 34(L), NIRC, as amended by R.A. 9504]
21 Method of Accounting Cash Accrual Others (Specify)
22 Income Exempt from Income Tax? Yes No If Yes, fill up also Mandatory Attachments PER ACTIVITY (Part X).
23 Income subject to Special/Preferential Rate? Yes No If Yes, fill up also Mandatory Attachments PER ACTIVITY (Part X)
24 Claiming Additional Exemptions? Yes No 25 If YES, enter number of Qualified Dependent Children (Enter information about Children on Part VIIA of Page 4)
Part II – Total Tax Payable (Do NOT enter Centavos)
26 Total Income Tax Due (Overpayment) for Tax Filer and Spouse (Sum of Items 72A & 72B)
27 Less: Total Tax Credits / Payments (Sum of Items 76A & 76B)
28 Net Tax Payable (Overpayment) (Item 26 Less Item 27)
29 Less: Portion of Tax Payable Allowed for 2nd Installment to be paid on or before July 15 (Not More Than 50% of Item 26)
30 Total Tax Payable (Item 28 Less Item 29)
31 Add: Total Penalties( From Item 84)
32 TOTAL AMOUNT PAYABLE Upon Filing (Overpayment) (Sum of Items 30 & 31)
If Overpayment, mark one box only (Once the choice is made, the same is irrevocable)
To be refunded To be issued a Tax Credit Certificate (TCC) To be carried over as a tax credit for next year/quarter
I declare under the penalties of perjury, that this annual return has been made in good faith, verified by me, and to the best of my knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. (If Authorized Representative, attach authorization letter and indicate TIN)
33 Number of pages filed
Signature over printed name of Tax Filer Signature over printed name of Authorized Representative
34 Community Tax Certificate (CTC) No./Govt. Issued ID
35 Date of Issue (MM/DD/YYYY)
/ /
36 Place of Issue
37 Amount, if CTC
Part III - Details of
Payment Drawee Bank/
Agency Number Date (MM/DD/YYYY) Amount
38 Cash/Bank Debit Memo
/
/
39 Check
/
/
40 Others (Specify below)
/
/
Machine Validation / Revenue Official Receipt Details (if not filed with an Authorized Agent Bank)
Stamp of Receiving Office/AAB and Date of Receipt
(RO’s Signature/Bank Teller’s Initial)
Annual Income Tax Return For Self-Employed Individuals, Estates and Trusts
Subject to REGULAR Income Tax Only
Page 2
BIR Form No.
1701 June 2013 (ENCS)
170106/13ENCSP2
TIN Tax Filer’s Last Name
0 0 0 0
Part IV Computation of Income Tax- REGULAR RATE A) Taxpayer/Filer B) Spouse
91 Special Tax Relief Availment( From Part IX Item 21B/21F)
92 Exempt Tax Relief Availment (From Part IX Item 21C/21G)
93 Total Tax Relief Availment (Sum of Items 90, 91 & 92)
94 Total Tax Relief Availment of Tax Filer & Spouse (Sum of Items 93A & 93B)
(To Item 29)
Annual Income Tax Return For Self-Employed Individuals, Estates and Trusts
Subject to REGULAR Income Tax Only
Page 4
BIR Form No.
1701 June 2013 (ENCS)
170106/13ENCSP4
TIN Tax Filer’s Last Name
0 0 0 0
Part VII - Other Relevant Information - SPOUSE
95 Spouse’s TIN
/
/
/ 0 0 0 0 96 RDO Code
97 Spouse’s Name (Last Name, First Name and Middle Initial)
98 Trade Name
99 Date of Birth(MM/DD/YYYY) 100 Email Address
/
/
101 Contact Number
102 PSIC
103 PSOC
104 Line of Business
105 Method of Deduction Itemized Deductions [Sec. 34 (A-J), NIRC]
Optional Standard Deduction (OSD) 40% of Gross
Sales/Receipts/Revenues/Fees [Sec. 34(L), NIRC, as amended by R.A. 9504]
106 Method of Accounting Cash Accrual Others (Specify)
107 Income Exempt from Income Tax? Yes No If Yes, fill up also Mandatory Attachments PER ACTIVITY (Part X).
108 Income subject to Special/Preferential Rate? Yes No If Yes, fill up also Mandatory Attachments PER ACTIVITY (Part X)
109 Alphanumeric Tax Code (ATC) II 011 Compensation Income II 012 Business Income/Income from Profession II 013 Mixed Income
110 Claiming Additional Exemptions? Yes No 111 If YES, enter number of Qualified Dependent Children (Enter information about Children on Part VIIA)
Part VIIA - Qualified Dependent Children (If wife is claiming for additional exemption, please attach waiver of the husband)
Last Name First Name and Middle Initial Date of Birth
(MM / DD / YYYY)
Mark if Mentally/ Physically
Incapacitated
Part VIIB - Current Address (Accomplish if current address is different from registered address)
Unit/Room Number/Floor Building Name
Lot Number Block Number Phase Number House Number Street Name
Subdivision/Village Barangay
Municipality/City Province Zip Code
Part VIII - Information - External Auditor/Accredited Tax Agent
112 Name of External Auditor/Accredited Tax Agent
113 TIN
114 Name of Signing Partner (If External Auditor is a Partnership)
115 TIN
116 BIR Accreditation No. 117 Issue Date (MM/DD/YYYY) 118 Expiry Date (MM/DD/YYYY)
-
-
-
/
/
/
/
Annual Income Tax Return Page 5 - Schedules 1 to 4A
BIR Form No.
1701 June 2013 (ENCS)
170106/13ENCSP5
TIN Tax Filer’s Last Name
0 0 0 0
SCHEDULES-REGULAR RATE
Schedule 1 - Gross Compensation Income and Tax Withheld (Attach additional sheet/s, if necessary)
Gross Compensation Income and Tax Withheld (On Items 1, 2 & 3, enter the required information for each of your employers and mark (X) whether the information is for the Taxpayer or the Spouse. Attach additional Sheets if necessary. On Item 5A, enter the Total Gross Compensation and Total Tax Withheld for the Taxpayer and on Line 5B, enter the appropriate information for the Spouse. DO NOT enter Centavos; 49 Centavos or Less drop down; 50 or more round up)
1 Name of Employer
Taxpayer Spouse
Employer’s TIN Compensation Income Tax Withheld
2 Name of Employer
Taxpayer Spouse
Employer’s TIN Compensation Income Tax Withheld
3 Name of Employer
Taxpayer Spouse
Employer’s TIN Compensation Income Tax Withheld
4 Name of Employer
Taxpayer Spouse
Employer’s TIN Compensation Income Tax Withheld
5A Total Gross Compensation Income and Total Tax Withheld from the above
entries and any additional sheets attached for Taxpayer (To Part IV Item 41A)
1. Total Compensation Income 2. Total Tax Withheld
5B Total Gross Compensation Income and Total Tax Withheld from the above
entries and any additional sheets attached for Spouse (To Part IV Item 41B)
1. Total Compensation Income 2. Total Tax Withheld
Schedule 2 - Sales/Revenues/Receipts/Fees from Business/Profession, including amount received from General Professional Partnership (GPP)
Description A) Taxpayer/Filer B) Spouse
1 Total Sales/Revenues/Receipts/Fees
2 Add: Gross Sales/Revenues/Receipts/Fees not subject to Withholding Tax
3 Total Sales/Revenues/Receipts/Fees (Sum of Items 1 & 2 )
4 Less: Sales Returns, Allowances and Discounts
5 Net Sales/Revenues/Receipts/Fees (Item 3 Less Item 4) (To Item 50)
Schedule 3 - Other Taxable Income from Operations not Subject to Final Tax (Attach additional sheet/s, if necessary)
Description A) Taxpayer/Filer B) Spouse
1
2
3 Total Other Taxable Income (Sum of Items 1 & 2) (To Item 51)
Schedule 4 – Cost of Sales/Services (Attach additional sheet/s, if necessary)
Schedule 4A - Cost of Sales (For those engaged in Trading)
Description A) Taxpayer/Filer B) Spouse
1 Merchandise Inventory, Beginning
2 Add: Purchases of Merchandise
3 Total Goods Available for Sale (Sum of Items 1 & 2)
4 Less: Merchandise Inventory, Ending
5 Cost of Sales (Item 3 Less Item 4) (To Schedule 4 Item 27)
Annual Income Tax Return Page 6 - Schedules 4B to 6
BIR Form No.
1701 June 2013 (ENCS)
170106/13ENCSP6
TIN Tax Filer’s Last Name
0 0 0 0
Schedule 4B - Cost of Sales (For those engaged in Manufacturing)
Description A) Taxpayer/Filer B) Spouse
6 Direct Materials, Beginning
7 Add: Purchases of Direct Materials
8 Material Available for Use (Sum of Items 6 & 7)
9 Less: Direct Materials, Ending
10 Raw Materials Used (Item 8 Less Item 9)
11 Direct Labor
12 Manufacturing Overhead
13 Total Manufacturing Cost (Sum of Items 10 to 12)
14 Add: Work in Process, Beginning
15 Less: Work in Process, Ending
16 Cost of Goods Manufactured (Sum of Items 13 & 14 Less Item 15)
17 Add: Finished Goods, Beginning
18 Less: Finished Goods, Ending
19 Cost of Goods Manufactured & Sold
(Sum of Items 16 & 17 Less Item 18) (To Schedule 4 Item 27)
Schedule 4C - Cost of Services (For those engaged in Services, indicate only those directly incurred or related to the gross
revenue from rendition of services)
Description A) Taxpayer/Filer B) Spouse
20 Direct Charges – Salaries, Wages and Benefits
21 Direct Charges – Materials, Supplies and Facilities
22 Direct Charges – Depreciation
23 Direct Charges – Rental
24 Direct Charges – Outside Services
25 Direct Charges – Others
26 Total Cost of Services (Sum of Items 20 to 25) (To Schedule 4 Item 27)
27 Total Cost of Sales/Services (Sum of Items 5, 19 & 26, if applicable) (To Part IV Item 53)
Schedule 5 - Non-Operating Income (Attach additional sheet/s, if necessary)
Nature of Income A) Taxpayer/Filer B) Spouse
1
2
3
4
5
6 Total Non-Operating Income (Sum Items 1 to 5) (To Item 55)
24 Repairs and Maintenance - Labor or Labor & Materials
25 Repairs and Maintenance - Materials/Supplies
26 Representation and Entertainment
27 Research and Development
28 Royalties
29 Salaries and Allowances
30 Security Services
31 SSS, GSIS, Philhealth, HDMF and Other Contributions
32 Taxes and Licenses
33 Tolling Fees
34 Training and Seminars
35 Transportation and Travel
Others (Specify below; Add additional sheet(s), if necessary)
36
37
38
39
40 Total Ordinary Allowable Itemized Deduction (Sum of Items 1 to 39) (To Item 57)
Annual Income Tax Return Page 8 - Schedules 7 to 8B.1
BIR Form No.
1701 June 2013 (ENCS)
170106/13ENCSP8
TIN Tax Filer’s Last Name
0 0 0 0
Schedule 7 - Special Allowable Itemized Deductions(Attach additional sheet/s, if necessary)
Description Legal Basis A) Taxpayer/Filer B) Spouse
1
2
3
4
5 Total Special Allowable Itemized Deductions (Sum of Items1 to 4) (To Item 58)
Schedule 8 – Computation of Net Operating Loss Carry Over (NOLCO)
Schedule 8A – Taxpayer/Filer’s Computation of Net Operating Loss Carry Over (NOLCO)
1 Gross Income
2 Less: Total Deductions Exclusive of NOLCO & Deduction Under Special Law
3 Net Operating Loss (Item 1 Less Item 2) (To Schedule 8A.1)
Schedule 8A.1 - Taxpayer/Filer’s Detailed Computation of Available Net Operating Loss Carry Over (NOLCO)
Net Operating Loss B) NOLCO Applied Previous Year
Year Incurred A) Amount
4
5
6
7
C) NOLCO Expired D) NOLCO Applied Current Year E) Net Operating Loss (Unapplied)
4
5
6
7
8 Total NOLCO (Sum of Items 4D to 7D) (To Item 59A)
Schedule 8B – Spouse’s Computation of Net Operating Loss Carry Over (NOLCO)
1 Gross Income
2 Less: Total Deductions Exclusive of NOLCO & Deduction Under Special Law
3 Net Operating Loss (Item 1 Less Item 2) (To Schedule 8B.1)
Schedule 8B.1 – Spouse’s Detailed Computation of Available Net Operating Loss Carry Over (NOLCO)
Net Operating Loss B) NOLCO Applied Previous Year
Year Incurred A) Amount
4
5
6
7
C) NOLCO Expired D) NOLCO Applied Current Year E) Net Operating Loss (Unapplied)
4
5
6
7
8 Total NOLCO (Sum of Items 4D to 7D) (To Item 59B)
Annual Income Tax Return Page 9 - Schedules 9 to 10
BIR Form No.
1701 June 2013 (ENCS)
170106/13ENCSP9
TIN Tax Filer’s Last Name
0 0 0 0
Schedule 9 – Tax Credits/Payments (Attach proof)
Description A) Taxpayer/Filer B) Spouse
1 Prior Year's Excess Credits
2 Tax Payments for the First Three Quarters
3 Creditable Tax Withheld for the First Three Quarters
4 Creditable Tax Withheld for the 4th Quarter
5 Creditable Tax Withheld per BIR Form No. 2316 (From Schedule 1 Item 5A2 /5B2)
6 Tax Paid in Return previously filed, if this is an Amended Return
7 Foreign Tax Credits, if applicable
8 Special Tax Credits, if applicable
9 Other Payments / Credits, specify __________________________
10 Total Tax Credits / Payments (Sum Items 1 to 9) (To Item73)
Schedule 10 - BALANCE SHEET
Assets
Description A) Taxpayer/Filer B) Spouse
1 Current Assets
2 Long-Term Investments
3 Property, Plant and Equipment - Net
4 Long Term Receivables
5 Intangible Assets
6 Other Assets
7 Total Assets (Sum Items 1 to 6)
Liabilities
8 Current Liabilities
9 Long Term Liabilities
10 Deferred Credits
11 Other Liabilities
12 Total Liabilities (Sum of Items 8 to 11)
Capital
13 Capital, Beginning
14 Add: Net Income for the Year
15 Less: Drawings
16 Capital, Ending (Sum of Items 13 & 14 Less Item 15)
17 Total Liabilities and Capital (Sum of Items 12 & 16)
Annual Income Tax Return Page 10 – Schedules 11A to 11B
BIR Form No.
1701 June 2013 (ENCS)
170106/13ENCSP10
TIN Tax Filer’s Last Name
0 0 0 0
Schedule 11 - Reconciliation of Net Income per Books Against Taxable Income (Attach additional sheet/s, if necessary)
Schedule 11A – TAX FILER’S Reconciliation of Net Income per Books Against Taxable Income
1 Net Income (Loss) per books
Add: Non-deductible Expenses/Taxable Other Income
2
3
4 Total (Sum of Items 1 to 3)
Less: A) Non-taxable Income and Income Subjected to Final Tax
5
6
B) Special Deductions
7
8
9 Total (Sum of Items 5 to 8)
10 Net Taxable Income (Loss) - Tax Filer (Item 4 Less Item 9)
Schedule 11B – SPOUSE’S Reconciliation of Net Income per Books Against Taxable Income
1 Net Income (Loss) per books
Add: Non-deductible Expenses/Taxable Other Income
2
3
4 Total (Sum of Items 1 to 3)
Less: A) Non-taxable Income and Income Subjected to Final Tax
5
6
B) Special Deductions
7
8
9 Total (Sum of Items 5 to 8)
10 Net Taxable Income (Loss) – Spouse (Item 4 Less Item 9)
Annual Income Tax Return Page 11 – Schedules 12A to 12B
BIR Form No.
1701 June 2013 (ENCS)
170106/13ENCSP11
TIN Tax Filer’s Last Name
0 0 0 0
Schedule 12 – Supplemental Information
Schedule 12A - Gross Income/ Receipts Subjected to Final Withholding
I) Description Exempt A) Actual Amount/Fair Market
Value/Net Capital Gains B) Final Tax Withheld/Paid
1 Interests
2 Royalties
3 Dividends
4 Prizes and Winnings
5 Fringe Benefits
6 Compensation Subject to 15% Preferential Rate
II) Sale/Exchange of Real Properties A) Sale/Exchange #1 B) Sale/Exchange #2
7 Description of Property (e.g., land, improvement, etc.)
8 OCT/TCT/CCT/Tax Declaration No.
9 Certificate Authorizing Registration (CAR) No.
10 Actual Amount/Fair Market Value/Net Capital Gains
11 Final Tax Withheld/Paid
III) Sale/Exchange of Shares of Stock A) Sale/Exchange #1 B) Sale/Exchange #2
12 Kind (PS/CS) / Stock Certificate Series No. / /
13 Certificate Authorizing Registration (CAR) No.
14 Number of Shares
15 Date of Issue (MM/DD/YYYY) / / / / 16 Actual Amount/Fair Market Value/Net Capital Gains
17 Final Tax Withheld/Paid
IV) Other Income (Specify) A) Other Income #1 B) Other Income #2
18 Other Income Subject to Final Tax Under Sections
57(A)/127/others of the Tax Code, as amended (Specify)
19 Actual Amount/Fair Market Value/Net Capital Gains
20 Final Tax Withheld/Paid
21 Total Final Tax Withheld/Paid (Sum of Items 1B to 6B, 11A, 11B,17A, 17B, 20A & 20B)
Schedule 12B - Gross Income/Receipts Exempt from Income Tax (Actual Amount/Fair Market Value)
1 Proceeds of Life Insurance Policy
2 Return of Premium
3 Retirement Benefits, Pensions, Gratuities, etc.
I) Personal/Real Properties Received thru Gifts, Bequests, and Devises
A) Personal/Real Properties #1 B) Personal/Real Properties #2
4 Description of Property (e.g., land, improvement, etc.)
5 Mode of Transfer (e.g. Donation)
6 Certificate Authorizing Registration (CAR) No.
7 Actual Amount/Fair Market Value
II) Other Exempt Income/Receipts A) Personal/Real Properties #1 B) Personal/Real Properties #2
8 Other Exempt Income/Receipts Under Section 32(B) of the
Tax Code, as amended (Specify)
9 Actual Amount/Fair Market Value/Net Capital Gains
10 Total Income/Receipts Exempt from Income Tax (Sum of Items 1 to 3, 7A, 7B, 9A & 9B)
Annual Income Tax Return Consolidation of ALL Activities per Tax Regime
(Accomplish only if with MULTIPLE Tax Regimes) From Part X Mandatory Attachments for Exempt / Special Tax Regime PER ACTIVITY
and Part IV for REGULAR
BIR Form No.
1701 June 2013 (ENCS)
Page 12
170106/13ENCSP12
TIN Tax Filer’s Last Name
0 0 0 0
Part IX - CONSOLIDATED COMPUTATION BY TAX REGIME (Consolidate amounts from Part X Mandatory Attachments for Exempt / Special Tax Regime PER ACTIVITY and Part IV for REGULAR)
TAXPAYER/FILER SPOUSE
A) Regular B) Total Special
C) Total Exempt
D) TOTAL (D= A + B + C)
E) Regular F) Total
Special G) Total
Exempt H) TOTAL (H=E+F+G)
1 Net Sales/Revenues/Receipt/Fees (From Part IV Item 50A/50B-Regular) (From Schedule B Item 1A/1B-Special/Exempt)
2 Add: Other Taxable Income from Operations not subject to Final Tax (From Part IV Item 51A/51B-Regular) (From Schedule B Item 2A/2B-Special/Exempt)
3 Total Sales/Revenues/Receipts/Fee (Sum of Items 1 & 2) 4 Less: Cost of Sales/Service (From Part IV Item 53A/53B-Regular) (From Schedule B Item 4A/4B-Special/Exempt)
5 Gross Income from Business/Profession (Item 3 Less Item 4) 6 Add: Non-Operating Income (From Part IV Item 55A/55B-Regular) (From Schedule B Item 6A/6B-Special/Exempt)
7 TOTAL GROSS INCOME (Sum of Items 5 & 6)
Less: Allowable Deductions
8 Ordinary Allowable Itemized Deductions (From Part IV Item 57A/57B-Regular) (From Schedule B Item 8A/8B-Special/Exempt)
9 Special Allowable Itemized Deductions (From Part IV Item 58A/58B-Regular) (From Schedule B Item 9A/9B-Special/Exempt)
10 Allowance for Net Operating Loss Carry Over (NOLCO) (From Part IV Item 59A/59B)
11 Total Allowable Itemized Deductions (Sum of Items 8 to 10)
OR
12 Optional Standard Deductions (OSD) (40% of Item 3 Total Sales/ Receipts / Revenues / Fees)
(Note: Option to use OSD is not applicable on those with Multiple Tax Regimes)
13 Taxable Income from Business/Profession (Item 7 Less Item 11)
14 Add: Net Taxable Compensation Income (From Part IV Item 63A/63B)
15 Net Taxable Income (Sum of Items 13 & 14)
16 Less: Excess Deductions, if any OR the Total Deductions, if there is no
compensation income (From Part IV Item 65A/65B)
17 TOTAL TAXABLE INCOME (Item 15 Less Item 16)
18 TOTAL INCOME TAX DUE - REGULAR (From Part V Item 68A/68B);
- SPECIAL (Item 17B/17F X applicable Special Tax Rate) - EXEMPT (Item 7C/7G X 0%)
Schedule 10 – Balance Sheet: Indicate the amounts as shown in the
Audited Financial Statements.
Schedule 11 – Reconciliation of Net Income per Books Against
Taxable Income Tax Filer/Spouse: Indicate all the reconciling items to
be added or subtracted from the net income reported in the financial
statements to arrive at the taxable income reported in the income tax
return. For taxpayer subject to regular rate, fill up the non-deductible
expenses such as: allowance for bad debts not actually written off,
amortization and others which are not deductible for taxation purposes.
Also, add other taxable income such as: recovery of bad debts previously
written off, adjustment to retained earnings, and other adjustments that
are considered as income for tax purposes.
Schedule 12A - Gross Income/Receipts Subjected to Final
Withholding: Indicate the income/receipt of interests; royalties;
dividends; prizes and winnings; fringe benefits; compensation subject to
15% preferential rate; sale/ exchange of real property; sale/exchange of
shares of stock; other income and the corresponding final tax
withheld/paid, if applicable.
Schedule 12B - Gross Income/Receipts Exempt from Income Tax-
Indicate personal/real properties received thru gifts, bequests, and
devises; and other exempt income and receipts under Sec. 32(B) of the
NIRC, as amended.
FOR TAX FILERS WITH MULTIPLE TAX REGIMES:
Accomplish only Part IX and X if with Exempt/Special Tax
Regime.
Accomplish Part X – Mandatory Attachments for Exempt/Special
per tax Regime per Activity and consolidate to Part IX together with Part
IV for Regular Tax Regime.
Part IX- Consolidated Computation by Tax Regime
Accomplish required consolidated information per tax regime
and reflect the total for the tax filer and the spouse. If under regular
rate only, do not accomplish Part IX, instead, proceed directly to
Schedules-Regular Rate (Schedules 1 to 12B).
Part X - Mandatory Attachments for Exempt/Special Tax Regime
per Activity
Part X is applicable only for those with income subject to multiple
tax regimes. However, tax filer must first complete appropriate schedules
from Part X-Mandatory Attachments for Exempt/Special Tax
Regimes per Activity pages 1m to 5m, including the Schedules -
Regular Rate (Schedules 1 to 12B), if applicable. Accomplish as
many PART X as there are activities/programs per TAX REGIME. Consolidate the amounts PER TAX REGIME under EXEMPT and/or
SPECIAL from all of Part X-Mandatory Attachments which shall be
reflected in the appropriate items of columns B and/or C for the Tax filer,
and columns F and/or G for the spouse, if applicable.
Example: SPECIAL
EXEMPT
Subsequently, transfer the applicable Items to Part V, and
finally to Part II.
REQUIRED ATTACHMENTS:
1. Certificate of independent CPA duly accredited by the BIR (The CPA
Certificate is required if the gross quarterly sales, earnings, receipts
or output exceed P 150,000).
2. Account Information Form (AIF) and/or Financial Statements (FS),
including the following schedules prescribed under existing revenue
issuances which must form part of the Notes to the Audited FS:
a) Taxes and Licenses
b) Other information prescribed to be disclosed in the notes to FS
3. Statement of Management’s Responsibility (SMR) for Annual
Income Tax Return.
4. Certificate of Income Payments not subjected to Withholding Tax
(BIR Form No. 2304).
5. Certificate of Creditable Tax Withheld at Source (BIR Form
No. 2307).
6. Certificate of Compensation Payment/Tax Withheld (BIR Form
No. 2316).
7. Duly approved Tax Debit Memo, if applicable.
8. Proof of prior years' excess credits, if applicable.
9. Proof of Foreign Tax Credits, if applicable.
10. For amended return, proof of tax payment and the return previously
filed.
11. Summary Alphalist of Withholding Agents of Income Payments
Subjected to Withholding Tax at Source (SAWT), if applicable.
12. Proof of other tax payment/credit, if applicable.
13. Authorization Letter, if filed by an authorized representative.
14. Waiver of husband’s right to claim additional exemption, if
applicable.
Part X
Exempt
Activity 1
Schedule B
Part IX
Column C
Part X
Exempt
Activity 2
Schedule B
Consolidate
Part X
Special
Activity 1
Schedule B
Part X
Special
Activity 2
Schedule B
Part IX
Column B
Consolidate
Annual Income Tax Return Part X - Mandatory Attachments for EXEMPT / SPECIAL
Tax Regime PER ACTIVITY
Page 1m – Schedules A to C2
BIR Form No.
1701 June 2013 (ENCS)
170106/13ENCSP1m
TIN Tax Filer’s Last Name
0 0 0 0
Mark "X" the applicable Tax Regime Exempt Special Rate
Schedule A - Taxpayer's Activity Profile for Tax Relief Under Special Law/International Tax Treaty (Accomplish the Mandatory Attachments FOR EACH ACTIVITY, if applicable)